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Journal of Clinical Endocrinology & Metabolism Vol. 42, No. 4 778-781
doi:10.1210/jcem-42-4-778
Copyright © 1976 by the Endocrine Society.
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A Reconsideration of a Thyroid-Stimulating Immunoglobulin as the Cause of Hyperthyroidism in Graves' Disease

J. M. MCKENZIE and M. ZAKARIJA

McGill University Clinic, Royal Victoria Hospital Montreal, P.Q., Canada

This work was supported financially by grants from the US Public Health Service (AM04121) and the Medical Research Council of Canada (MT884 and MA5190) of which J. M. McKenzie is a Research Associate.

Several assays for thyroid-stimulating immunoglobulins in the blood in patients with Graves' disease have been described recently; depending upon the method, different names have been used and distinct entities thus implied. Using an increase in cyclic AMP in the human thyroid slice after 2 h of incubation as an index of thyroid stimulation, we identified thyroid-stimulating activity in all of an unselected series of sera from 11 patients with hyperthyroidism of Graves' disease, but long-acting thyroid stimulator, by mouse bioassay, in only three. The theory is proposed that the thyroid-stimulating immunoglobulin is probably present in all such patients; it may be seen as a polyclonal antibody to a single human antigen that has a variable cross-reaction with a corresponding thyroid antigen in the mouse and in other species.

Received July 24, 1975.




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Copyright © 1976 by The Endocrine Society